Individual
MR. JAMES MERRIL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.M.F.T.
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 249-3434
Mailing address
3534 NE 92ND AVE, PORTLAND, OR 97220-5108
(503) 254-6236
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
OR T0104
OR
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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